Doctor Name: | LISA HILT |
NPI Number: | 1114302270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCAS |
License Number: | LCAS-22096 |
Business Practice Address: | 800 Jefferson St Ste 114 Whiteville, NC - 284723702 |
Business Phone Number: | 9106423598 |
Business Fax Number: | |
Mailing Address: | 1005 Hickory Hill Dr Apt 101, LELAND |
State: | NC |
Postal Code: | 284519157 |
Phone Number: | 8436859069 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LCAS-22096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |